| Dr John D Cooley, PHD | |
|
810 E Jackson Blvd, Suite B1, Jackson, MO 63755-2432 | |
| (573) 243-4411 | |
| (573) 243-7276 |
| Full Name | Dr John D Cooley |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 34 Years |
| Location | 810 E Jackson Blvd, Jackson, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992857056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CS001856 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sailor Health Medical Pa | 4486182342 | 301 |
| Entity Name | Sailor Health Medical PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841012960 PECOS PAC ID: 4486182342 Enrollment ID: O20260223002806 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John D Cooley, PHD 810 E Jackson Blvd, Suite B1, Jackson, MO 63755-2432 Ph: (573) 243-4411 | Dr John D Cooley, PHD 810 E Jackson Blvd, Suite B1, Jackson, MO 63755-2432 Ph: (573) 243-4411 |
Ms. Amy Lauren Mitchell, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 W Main St Ste 8, Jackson, MO 63755 Phone: 573-352-5281 |
Kacie Nicole Sandlin, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 530 County Road 541, Jackson, MO 63755 Phone: 573-275-9696 |
Ashlee Sitze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1413 N Farmington Rd Apt 18, Jackson, MO 63755 Phone: 573-200-1052 |
Jennifer Moyers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 E Adams St, Jackson, MO 63755 Phone: 573-243-9501 |
Laura Lee Buchheit, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 W Main St, Jackson, MO 63755 Phone: 573-846-0007 |
Christina Renee Ivy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1166 Greenway Dr, Suite B5, Jackson, MO 63755 Phone: 573-243-9900 Fax: 573-243-5320 |
Laura Baugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 E Adams St, Jackson, MO 63755 Phone: 573-243-9501 |